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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For H.pylori

Hello Doctor I am taking treatment for H . pylori bacteria ; doctor prescribed Mox 500 ( two tab in morning & two In night ) for 5 days after that ask me to take 1 tab of TINIBA500 & 1 TAB OF CLARINOVA 500 ( ONE EACH IN MORING & ONE EACH IN NIGHT ) just want to know this treatment will help me
Wed, 29 Jul 2015
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General & Family Physician,  's  Response
Hi & Welcome to HCM.

I appreciate your concern for the effectiveness of the prescribed treatment for H. pylori.

The prescribed treatment may not help in the eradication of the H.pylori.

1. The prescribed regimen by your treating doctor is INCOMPLETE as it contains only the "sequentially used" antibiotics (Mox, Tiniba & Clarinova).
Notable missing drug here is a proton pump inhibitor like Omeprazole or Pantoprazole which should have also be taken simultaneously.

2. Proton pump inhibitor should be continued for another 4-6 weeks for total eradication of the H.pylori and the healing of the stomach ulcer.

Had you been my patient I would have advised the following "Triple Therapy" which is found to be more efficacious:

1. Two antibiotics (Mox to be taken twice and Tiniba to be taken twice) along with a PPI like Pantoprazole for 14 days, this is followed by
2. A PPI like Pantoprazole alone for a period of at least 4-6 weeks.

Hope to have answered your query.
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Suggest Treatment For H.pylori

Hi & Welcome to HCM. I appreciate your concern for the effectiveness of the prescribed treatment for H. pylori. The prescribed treatment may not help in the eradication of the H.pylori. 1. The prescribed regimen by your treating doctor is INCOMPLETE as it contains only the sequentially used antibiotics (Mox, Tiniba & Clarinova). Notable missing drug here is a proton pump inhibitor like Omeprazole or Pantoprazole which should have also be taken simultaneously. 2. Proton pump inhibitor should be continued for another 4-6 weeks for total eradication of the H.pylori and the healing of the stomach ulcer. Had you been my patient I would have advised the following Triple Therapy which is found to be more efficacious: 1. Two antibiotics (Mox to be taken twice and Tiniba to be taken twice) along with a PPI like Pantoprazole for 14 days, this is followed by 2. A PPI like Pantoprazole alone for a period of at least 4-6 weeks. Hope to have answered your query.